By Jon C. Gould, W. Scott Melvin
The final health care provider used to be first brought to laparoscopy approximately twenty years in the past. In those earlier 20 years, there was an evolution within the symptoms, techniques, and results for the surgery of many stipulations and illnesses. the controversy concerning the optimum strategy maintains. regardless of the entire advances which have been made through the 'evolution of the laparoscopic revolution', there's nonetheless growth to be made. This factor will learn the heritage of the minimally invasive surgical method of quite a few stipulations, ongoing components of controversy, and destiny instructions.
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Extra info for Advances and Controversies in Minimally Invasive Surgery, An Issue of Surgical Clinics (The Clinics: Surgery)
51] Sharma P. Barrett esophagus: will eﬀective treatment prevent the risk of progression to esophageal adenocarcinoma? Am J Med 2004;117(Suppl 5A):79S–85S.  McDonald ML, Trastek VF, Allen MS, et al. Barretts’s esophagus: does an antireﬂux procedure reduce the need for endoscopic surveillance? J Thorac Cardiovasc Surg 1996; 111:1135–8 [discussion: 39–40].  Dunkin BJ, Martinez J, Bejarano PA, et al. Thin-layer ablation of human esophageal epithelium using a bipolar radiofrequency balloon device.
Partial- and full-thickness gastropexy techniques have been described under the trade names of Endocinch (Bard, Murray Hill, New Jersey), Plicator (NDO, Mansﬁeld, Massachusetts), and Esophyx (Endogastric Solutions, Redmond, Washington) [37–39]. The physiologic impact of intraluminal gastroplication has been observed in animals and people, with an immediate increase in LES pressure, decrease in acid sensitivity, and decrease in the number of transient esophageal relaxation episodes detected. Evidence regarding the eﬀectiveness and safety of these procedures is still accumulating, primarily in the setting of proof-of-concept, small case-study, cohort, or sham-comparison studies.
They found no clinical evidence for dysphagia or weight loss and histologically noted good reinforcement of the hiatus and circumferential ingrowth of connective tissue and skeletal muscle into the graft, concluding the graft may act as a scaﬀold for tissue ingrowth and does not lead to erosion. The initial clinical report of PEH repair supplemented with a biologic mesh was by Oelschlager and colleagues , who described the use of SIS in nine patients as a feasibility study. That group later followed this case series with a multicenter, prospective randomized trial in which 108 patients were randomized to repair with or without onlay crural reinforcement with the biologic graft, placed in a keyhole fashion .